RENAISSANCE FAMILY MEDICINE, LLC
NPI 1720287071
Family Medicine in New Albany, IN

Q: What is Renaissance Family Medicine, LLC's NPI number?

The NPI number for Renaissance Family Medicine, LLC is 1720287071. It was assigned to this organization in the NPPES registry on July 17, 2007.

Q: What is Renaissance Family Medicine, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 17, 2007CLIA 15D1048284 · Waiver

2580 CHARLESTOWN RD, SUITE 2, NEW ALBANY, IN 47150(812) 948-9500(812) 948-9600 Get Directions Write a Review

NPPES record last updated: December 28, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Renaissance Family Medicine, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENAISSANCE FAMILY MEDICINE, LLC (NPI 1720287071) is a healthcare organization registered as a family medicine in New Albany, Indiana and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through November 28, 2027 and lists Anna M. Fisher, Manager/owner, as its authorized official.

NPPES Registry Identity

NPI1720287071

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameRENAISSANCE FAMILY MEDICINE, LLC

Location Address2580 CHARLESTOWN RD, SUITE 2New Albany, IN 47150

Mailing Address2580 Charlestown Rd, Suite 2New Albany, IN 47150 · (812) 948-9500 · Fax (812) 948-9600

Phone(812) 948-9500

Fax(812) 948-9600

Organization SubpartNo

Authorized OfficialAnna M. FisherManager/owner · (812) 948-9500

Enumeration DateJuly 17, 2007

Last NPPES UpdateDecember 28, 2018

✔ NPI 1720287071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 01036882A

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2580 CHARLESTOWN RD, New Albany, IN 47150

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Other Identifiers 1

Medicaid100116610AIN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Renaissance Family Medicine, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Renaissance Family Medicine, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Anna Fisher, M.D.

Family Practice

NPI 1972591915

2580 CHARLESTOWN RD SUITE 2
New Albany, IN 47150

(812) 948-9500

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D1048284

Renaissance Family Medicine LLC · New Albany, IN

Active · expires Nov 28, 2027

CLIA Number15D1048284

Laboratory TypePhysician Office

Certificate Effective DateNovember 29, 2025

Certificate Expiration DateNovember 28, 2027

Laboratory DirectorAnna M. Fisher

Laboratory Phone(812) 948-9500

Laboratory LocationRenaissance Family Medicine LLC2580 Charlestown Road Suite #2, New Albany, IN 47150

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renaissance Family Medicine, LLC's NPI number?

The NPI number for Renaissance Family Medicine, LLC is 1720287071. It was assigned to this organization in the NPPES registry on July 17, 2007.

Where is Renaissance Family Medicine, LLC located?

Renaissance Family Medicine, LLC is located at 2580 Charlestown Rd Suite 2, New Albany, IN 47150. The listed phone number is (812) 948-9500.

What is Renaissance Family Medicine, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Renaissance Family Medicine, LLC enrolled in Medicare?

Yes. Renaissance Family Medicine, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Renaissance Family Medicine, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Renaissance Family Medicine, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Renaissance Family Medicine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D1048284) is associated with this NPI, valid through November 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Renaissance Family Medicine, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Renaissance Family Medicine, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Renaissance Family Medicine, LLC was last updated on December 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.